Heartland Family Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEARTLAND FAMILY CLINIC, LLC

Practice address

16 Murray Guard Dr Ste B
Jackson, TN 38305-3751

Phone

(731) 574-9778

Fax

(731) 574-9779

NPI assigned

Oct 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candace Rowland, FNP-BCNPI 1467583021

Title

Owner

Phone

(731) 574-9778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Mayberry Rowland, A.P.N.

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1467583021
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1497575666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053751",
            "telephone_number": "731-574-9778",
            "fax_number": "731-574-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-574-9778",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Partners
• Healthcare Management, Inc
• Healthsource of Jackson
• Healthwise 360 LLC
• Heart of Life Counseling Inc
• Gina Ann Heathcott, DC
• Amy C Heffernan, PTA
• Marvyn L Hegmon, LCSW
• David Scott Helm, M.D.
• Helping Hands of Middle & West Tennessee

• Family Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.